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Organization

GULF COAST INTEGRATIVE HEALTH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRISTY STIBAL (DIRECTOR OF OPERATIONS)
(208) 821-1032
Entity
Organization

Contact information

Practice address
1800 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-3931
(225) 254-9589
(225) 208-7267
Mailing address
37283 SWAMP RD STE 803, PRAIRIEVILLE, LA 70769-3329
(225) 254-9589
(225) 208-7267

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
Primary
2084P0800X
Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
05/15/2023
Last updated
05/19/2026
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